Individual
KENNETH S KOENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 DELAWARE ST SE, PWB FIRST FLOOR, CLINIC 1E, MINNEAPOLIS, MN 55455-0356
(612) 626-6666
Mailing address
420 DELAWARE ST SE MMC 394, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-6666
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
46470
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040762
PREFERRED ONE
MN
01
—
131340
UCARE
MN
01
—
19-00018
MEDICA-PRIMARY
MN
01
—
19-00591
MEDICA-CHOICE
MN
01
—
2162398
ARAZ
—
01
—
455R5KO
BCBS
MN
01
—
692293
FAIRVIEW
MN
01
—
B715
CHAMPUS
—
01
—
HP40917
HEALTH PARTNERS
MN
Enumeration date
10/13/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us